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SAN._,10AQUIN Environmental Health Department <br /> -COUNTY <br /> EMERGENCY RESPONSE RECORD <br /> Date: May 05, 2021 Short Term#: COM760GOJ <br /> Premise Address: 18 S PLEASANT AVE City: LODI <br /> Premise DBA: Cross Street: OAK <br /> Premise Owner: CHERYL PHILLIPS Owner's Phone: <br /> Mailing Address: 18 S PLEASANT AVE Owner City: LODI <br /> Facility Contact: CHERYL PHILLIPS Contact Phone: <br /> RP DBA: CENTRAL VALLEY WASTE MANAGEMENT <br /> Onsite RP Name: Onsite RP Phone: <br /> Mailing Address: PO BOX 241001 RP City: LODI <br /> RP Contact: FABIAN SPEED Contact Phone: (209)275-5441 <br /> NATURE OF RESPONSE(explosion, spill, leak, fire, or abandoned/dumped material <br /> HOSE HAS A HOLE AND LEAKED ONE GALLON OF COOLANT <br /> Time Received: 1:09 pm Time of Arrival: 3:30 pm Time of Departure: 3:40 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA LO <br /> LYDIA BAKER SJC EHD (209)616-3046 3:30 pm 3:40 pm <br /> PAUL NSO SJC EHD (209)616-3049 3:30 pm 3:40 pm <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(lbs) LIQUID(gaD GAS(cu ft) COMMENTS <br /> Coolant 1.00 ❑ z ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: May 05,2021 Date UAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? ❑YES ❑NO <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />